NAOMI NOBLE
NPI 1417721804
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY
About Naomi Noble NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAOMI NOBLE (NPI 1417721804) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (405169) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in River Edge, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Naomi Noble is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Naomi Noble reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11229
- Reassigned Medicare billing, New York enrollment
- 306 clinicians in this Medicare group
Tenafly, NJ 07670
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Tenafly Psychiatric Associates LLC
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Naomi Noble's NPI number?
The NPI number for Naomi Noble is 1417721804. It was assigned to this individual provider in the NPPES registry on November 7, 2023.
Where is Naomi Noble located?
Naomi Noble practices at 1623 Kings Hwy, Brooklyn, NY 11229. The listed phone number is (718) 375-1200.
What is Naomi Noble's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Naomi Noble enrolled in Medicare?
Yes. Naomi Noble is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Naomi Noble's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Naomi Noble reassigns Medicare benefits to 2 organizations: Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY) and Tenafly Psychiatric Associates, L.L.C. (Tenafly, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Naomi Noble's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Naomi Noble was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Naomi Noble · NPI 1417721804
Psychiatric/Mental Health physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since November 7, 2023.
## Identity
- **NPI:** 1417721804 (Entity type: Individual)
- **Enumerated:** November 7, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 405169 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1623 KINGS HWY, Brooklyn, NY 11229-1209
- **Phone:** (718) 375-1200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Interborough Developmental And Consultation Center, Inc. (NPI 1588611842, Brooklyn, NY); Tenafly Psychiatric Associates, L.L.C. (NPI 1821063835, Tenafly, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417721804) · Data from the CMS NPPES public registry.